The aim of this chapter is to examine the utilization of total quality management (TQM), ISO 9000, and Lean concepts in the management processes of civil engineering consulting firms. The history of management theory and the existing literature related to total quality management, ISO 9000, and Lean concepts as applied to the civil engineering profession were reviewed. Also, the practical application of these concepts in civil engineering firms' operations and the extent that academic courses in these topics are offered were analyzed. The study is based on internet research and interviews with civil engineering managers and college professors. The results show that while the literature strongly endorses the utilization of these management concepts, the actual use is little known in the professional business of civil engineering. Also, in general, undergraduate civil engineering academic programs in the United States do not offer specific courses, which cover these concepts in their curriculums.